Get Box 12157 Austin

This guide provides a clear and supportive overview of how to fill out the Box 12157 Austin form online. It will walk you through each section of the Water Well Variance Request application, ensuring you have all the necessary information to complete it accurately.

Follow the steps to fill out the Box 12157 Austin form online:

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Begin by typing or printing your information in black ink. Enter the licensee's name in the designated fields for last name, first name, and middle initial.
3. Fill in the license number associated with the application.
4. Provide the complete address, including city, state, and ZIP code for the licensee.
5. Enter the licensee's phone number and email address, ensuring accuracy for future communications.
6. Next, fill out the well owner's information in the same format: last name, first name, middle initial, address, city, state, ZIP code, phone number, and email address.
7. In the 'Reason variance is requested' section, provide a detailed explanation of why the variance is necessary. If needed, attach additional pages.
8. Complete the technical specifications by entering borehole size, well casing size, well depth, cementing method, surface casing, screen depth, production zone, and distances to sources of contamination.
9. Indicate the plugging material used and the static water level measurements.
10. Detail any relevant distances from septic tanks and field lines, and specify the type of contamination, if applicable.
11. If necessary, include diagrams of construction, plugging, and site distances.
12. Ensure the application is signed by the driller or the person submitting the form.
13. Finally, confirm the variance fee of $100.00 is prepared alongside the application. Users can save changes, download, or print the form when completed.

Complete your documents online today to streamline your application process.